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Twisted Pictures was formed after the box office success of Saw in 2004, which lead to a nine-picture distribution deal with Lionsgate.[1][2] The company went on to produce six sequels in the Saw film series. Carl Mazzocone served as president for four years.[3]

In October 2009, Twisted Pictures landed a deal with The Texas Chainsaw Massacre rights-holders Bob Kuhn and Kim Henkel after discussions with Platinum Dunes fell apart. The deal is for multiple films.[6]